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Fascial stretch,
what is fascia?

By Chris Frederick

Co-Director of the 

Stretch to Win

Institute at 

StretchToWin.com
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Objec3ves	
  
Fascia	
  for	
  trainers:	
  
	
  
1.  Func?ons	
  	
  
2.  Problems	
  	
  
3.  Solu?ons	
  	
  
Permission:	
  FasciaResearch.com	
  	
  	
  
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Mobility	
  	
  Stability	
  
Stability	
   Mobility	
  
Fascial	
  
Net	
  
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Func?on	
  of	
  fascia	
  
	
  Movement	
  
system	
  
	
  Communica?on	
  
system	
  
Force	
  trans-­‐
mission	
  
system	
  	
  
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Muscle	
  
Tendon	
  
Ligament	
  
Bone	
  	
  
Force	
  transmission	
  system	
  
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Head	
  to	
  
toe	
  
container/
connector	
  
Joint	
  
Muscle	
  
Nerve	
  	
  
Movement	
  system	
  
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Kinesthesia	
  
Propriocep?on	
  
Interocep?on	
  
Nocicep?on	
  	
  
Communica?on	
  
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Problems	
  with	
  fascia…	
  
	
  
Movement	
  
system	
  
	
  Communica?on	
  
system	
  
Force	
  
trans-­‐
mission	
  
system	
  	
  
…are	
  training	
  problems!	
  
	
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Common	
  problems	
  with	
  fascia	
  	
  
Injury	
   Thickens	
   Scars	
  
Glues	
  	
   Dehydrates	
  	
  
èRestricts	
  movementç	
  
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Solu?ons	
  must…	
  	
  
Heal	
  	
  
Injury	
  
Reduce	
  
Thickening	
  
Release	
  
Scars	
  
Detach	
  
Glue	
  	
  
Rehydrate	
  
Dehydrated	
  	
  
çFree	
  movementè	
  
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Solu?ons	
  are	
  few	
  
ý Training	
  cannot	
  always	
  correct	
  
ý Manual	
  therapy,	
  massage	
  or	
  bodywork	
  	
  	
  	
  	
  	
  
	
  	
  	
  	
  techniques.	
  
ý 	
  	
  	
  	
  Tools,	
  e.g.	
  Graston,	
  ASTYM,	
  etc.	
  
	
  
þ Assisted	
  fascial	
  stretching	
  -­‐	
  FST	
  
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Fascial	
  Stretch	
  Therapy™	
  (FST)	
  
•  Frees	
  most	
  restric?ons	
  to	
  
movement	
  
•  Trains	
  the	
  brain	
  and	
  
nervous	
  system	
  
•  Groove	
  new	
  movement	
  
pa]erns	
  immediately	
  
•  Faster,	
  be]er	
  training	
  
results	
  
	
  
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Fascial	
  Stretch	
  Therapy™	
  (FST)	
  
1.  All	
  fascial	
  layers	
  accessed	
  	
  corrected	
  
2.  Works	
  fast	
  
3.  Pain-­‐free	
  
4.  Based	
  on	
  	
  
	
  	
  	
  	
  	
  scien?fic	
  evidence	
  
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PRACTICAL	
  	
  
Assessments	
  
	
  
	
  
	
  
	
  
Fascial	
  stretch	
  protocols	
  
	
  
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 Fascial	
  Assessments	
  
	
  
ROM	
  of	
  Linked	
  Joints	
  	
  
|	
  
Myofascial	
  chain	
  stability	
  	
  mobility	
  
|	
  
Nervous	
  system	
  mobility	
  	
  
||	
  
Movement	
  
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 Fascial	
  Mobility	
  Assessments	
  (edited)	
  
	
  
Lower	
  Body	
  
	
  
•  Squat	
  
•  Check	
  Leg	
  Length	
  (LL)	
  [edited]	
  
•  Passive	
  SLR	
  
•  Passive	
  hip	
  joint	
  capsule	
  trac?on	
  	
  stretch	
  
•  Lateral	
  neuro-­‐myofascial	
  chain	
  trac?on	
  	
  stretch	
  
Re-­‐assess	
  LL,	
  SLR,	
  squat	
  [edited]:	
  Group	
  1,	
  then	
  2	
  
	
  
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Hip	
  joint	
  capsule	
  trac3on	
  notes	
  
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Check	
  lateral	
  movement	
  (moving	
  to	
  the	
  therapist’s	
  
right	
  side)	
  
Goal:	
  To	
  assess	
  the	
  client’s	
  ROM	
  on	
  the	
  lateral	
  side	
  
of	
  their	
  body	
  and	
  to	
  ascertain	
  where	
  they	
  may	
  be	
  
restricted	
  as	
  you	
  move	
  them	
  laterally.	
  	
  
Client	
  posi?on:	
  Supine	
  with	
  arms	
  at	
  their	
  side.	
  
Therapist:	
  
• 	
  Lid	
  both	
  of	
  the	
  client’s	
  extended	
  legs	
  with	
  
trac?on	
  at	
  10°–20°	
  again.	
  
• 	
  Hold	
  both	
  of	
  their	
  heels	
  in	
  the	
  palms	
  of	
  your	
  
hands	
  and	
  gently	
  wrap	
  your	
  fingers	
  around	
  their	
  
heels.	
  	
  
• 	
  Engage	
  your	
  core	
  and	
  bend	
  your	
  knees	
  
slightly.	
  	
  
• 	
  Move	
  slowly	
  to	
  the	
  right	
  un?l	
  the	
  client’s	
  
movement	
  stops.	
  
• 	
  If	
  their	
  hip	
  begins	
  to	
  roll	
  up	
  off	
  the	
  table	
  you	
  
have	
  reached	
  the	
  end	
  of	
  their	
  ROM.	
  
Trac?on:	
  Lean	
  back	
  with	
  your	
  body,	
  stay	
  relaxed.	
  	
  
Lateral	
  Line	
  Stretch	
  Movement	
  
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 Fascial	
  Mobility	
  Assessments	
  
Upper	
  Body	
  
	
  
Supine:	
  
•  Ac?ve	
  arm	
  length	
  (palms	
  together):	
  90°,	
  full	
  flexion	
  	
  
•  Arms	
  overhead	
  (palms	
  apart)	
  
•  Passive	
  shoulder	
  joint	
  capsule	
  trac?on-­‐stretch:	
  90°	
  
Side	
  lying:	
  
•  Shoulder	
  abduc?on-­‐lateral	
  line	
  assessment-­‐stretch	
  
Re-­‐assess:	
  arm	
  length	
  and	
  overhead	
  [Group	
  1	
  then	
  2]	
  	
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Goal:	
  Target	
  ?ssues	
  within	
  the	
  posterior	
  
aspects	
  of	
  the	
  shoulder	
  joint.	
  	
  
Check	
  for	
  anterior	
  posterior	
  joint	
  glide	
  
and	
  restric?ons.	
  
Client	
  posi?on:	
  Client	
  lying	
  supine	
  on	
  the	
  
table	
  
Trainer/coach:	
  	
  
• 	
  Grasp	
  client	
  arm	
  on	
  the	
  lower	
  arms	
  
bones	
  to	
  trac?on	
  their	
  arm	
  upward,	
  
keeping	
  the	
  clients	
  elbow	
  straight.	
  Hands	
  
are	
  placed	
  on	
  each	
  side	
  of	
  their	
  wrist	
  
above	
  the	
  joint.	
  
• 	
  Trac?on	
  of	
  the	
  shoulder	
  up	
  at	
  90°	
  
flexion.	
  
• 	
  Stand	
  very	
  close	
  to	
  client	
  and	
  lean	
  
slightly	
  over	
  them	
  to	
  have	
  the	
  best	
  
leverage.	
  
• 	
  Check	
  for	
  posterior	
  joint	
  glide	
  and	
  
restric?ons	
  by	
  gently	
  liding	
  the	
  arm	
  
upward.	
  
Trac?on:	
  Shoulder	
  up	
  at	
  90°	
  flexion.	
  
Shoulder	
  joint	
  trac3on	
  
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ROM-­‐with	
  client	
  lying	
  on	
  side	
  	
  
• 	
  Hook	
  your	
  Trac?on	
  arm	
  at	
  90	
  deg	
  abduc?on	
  
•  	
  	
  	
  Trac?on	
  up	
  to	
  ceiling	
  
Lateral	
  Line	
  –	
  upper	
  body	
  (part	
  1	
  of	
  2)	
  
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Stretch	
  movement	
  1	
  
•  On	
  exhale,	
  trac?on	
  out	
  	
  down	
  to	
  floor	
  
•	
  	
  	
  Lid	
  their	
  arm	
  up	
  and	
  over	
  a	
  stretch	
  wave	
  
•	
  	
  	
  Increase	
  overhead	
  abduc?on	
  
•	
  	
  	
  Squat	
  down	
  for	
  be]er	
  leverage	
  
	
  
PNF	
  -­‐	
  cue	
  is	
  have	
  them	
  pull	
  their	
  scapula	
  down	
  
to	
  their	
  same	
  hip	
  as	
  they	
  roll	
  their	
  body	
  back	
  
down	
  to	
  the	
  table;	
  Repeat	
  PNF	
  2	
  or	
  more	
  ?mes	
  
	
  
Stretch	
  movement	
  2	
  
•  Maintain	
  stretch	
  posi?on	
  in	
  #1	
  	
  have	
  
client	
  gently	
  rotate	
  torso	
  toward/away	
  from	
  
floor/table.	
  No	
  PNF.	
  	
  
	
  
Lateral	
  Line	
  –	
  upper	
  body	
  (part	
  2	
  of	
  2)	
  
Copyright	
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  2014	
  Stretch	
  to	
  Win,	
  LLC	
  
References	
  
•  Frederick,	
  A.,	
  Frederick,	
  C.	
  2014.	
  Fascial	
  Stretch	
  Therapy.	
  
Handspring:	
  Edinburgh.	
  
•  Schleip,	
  R.,	
  et	
  al.	
  2012.	
  Fascia:	
  The	
  human	
  tensional	
  
network.	
  Elsevier:	
  London.	
  
•  Frederick,	
  A.,	
  Frederick,	
  C.	
  2006.	
  Stretch	
  to	
  Win.	
  Human	
  
Kine?cs:	
  Champaign.	
  	
  
•  Alter,	
  M.A.	
  2004.	
  The	
  Science	
  of	
  Flexibility.	
  Human	
  
Kine?cs:	
  Champaign.	
  
•  www.fasciaresearchsociety.org	
  	
  
•  www.fasciacongress.org	
  	
  
Copyright	
  (c)	
  2014	
  Stretch	
  to	
  Win,	
  LLC	
  
Thank	
  you!	
  
www.StretchToWin.com	
  
Copyright	
  (c)	
  2014	
  Stretch	
  to	
  Win,	
  LLC	
  

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What Is Fascial Stretch Therapy?

  • 1. www.StretchToWin.com   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 2. Fascial stretch, what is fascia? By Chris Frederick
 Co-Director of the 
 Stretch to Win
 Institute at 
 StretchToWin.com Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 3. Objec3ves   Fascia  for  trainers:     1.  Func?ons     2.  Problems     3.  Solu?ons     Permission:  FasciaResearch.com       Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 4. Mobility    Stability   Stability   Mobility   Fascial   Net   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 5. Func?on  of  fascia    Movement   system    Communica?on   system   Force  trans-­‐ mission   system     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 6. Muscle   Tendon   Ligament   Bone     Force  transmission  system   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 7. Head  to   toe   container/ connector   Joint   Muscle   Nerve     Movement  system   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 8. Kinesthesia   Propriocep?on   Interocep?on   Nocicep?on     Communica?on   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 9. Problems  with  fascia…     Movement   system    Communica?on   system   Force   trans-­‐ mission   system     …are  training  problems!     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 10. Common  problems  with  fascia     Injury   Thickens   Scars   Glues     Dehydrates     èRestricts  movementç   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 11. Solu?ons  must…     Heal     Injury   Reduce   Thickening   Release   Scars   Detach   Glue     Rehydrate   Dehydrated     çFree  movementè   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 12. Solu?ons  are  few   ý Training  cannot  always  correct   ý Manual  therapy,  massage  or  bodywork                    techniques.   ý         Tools,  e.g.  Graston,  ASTYM,  etc.     þ Assisted  fascial  stretching  -­‐  FST   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 13. Fascial  Stretch  Therapy™  (FST)   •  Frees  most  restric?ons  to   movement   •  Trains  the  brain  and   nervous  system   •  Groove  new  movement   pa]erns  immediately   •  Faster,  be]er  training   results     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 14. Fascial  Stretch  Therapy™  (FST)   1.  All  fascial  layers  accessed    corrected   2.  Works  fast   3.  Pain-­‐free   4.  Based  on              scien?fic  evidence   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 15. PRACTICAL     Assessments           Fascial  stretch  protocols     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 16.  Fascial  Assessments     ROM  of  Linked  Joints     |   Myofascial  chain  stability    mobility   |   Nervous  system  mobility     ||   Movement   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 17.  Fascial  Mobility  Assessments  (edited)     Lower  Body     •  Squat   •  Check  Leg  Length  (LL)  [edited]   •  Passive  SLR   •  Passive  hip  joint  capsule  trac?on    stretch   •  Lateral  neuro-­‐myofascial  chain  trac?on    stretch   Re-­‐assess  LL,  SLR,  squat  [edited]:  Group  1,  then  2     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 18. Hip  joint  capsule  trac3on  notes   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 19. Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 20. Check  lateral  movement  (moving  to  the  therapist’s   right  side)   Goal:  To  assess  the  client’s  ROM  on  the  lateral  side   of  their  body  and  to  ascertain  where  they  may  be   restricted  as  you  move  them  laterally.     Client  posi?on:  Supine  with  arms  at  their  side.   Therapist:   •  Lid  both  of  the  client’s  extended  legs  with   trac?on  at  10°–20°  again.   •  Hold  both  of  their  heels  in  the  palms  of  your   hands  and  gently  wrap  your  fingers  around  their   heels.     •  Engage  your  core  and  bend  your  knees   slightly.     •  Move  slowly  to  the  right  un?l  the  client’s   movement  stops.   •  If  their  hip  begins  to  roll  up  off  the  table  you   have  reached  the  end  of  their  ROM.   Trac?on:  Lean  back  with  your  body,  stay  relaxed.     Lateral  Line  Stretch  Movement   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 21.  Fascial  Mobility  Assessments   Upper  Body     Supine:   •  Ac?ve  arm  length  (palms  together):  90°,  full  flexion     •  Arms  overhead  (palms  apart)   •  Passive  shoulder  joint  capsule  trac?on-­‐stretch:  90°   Side  lying:   •  Shoulder  abduc?on-­‐lateral  line  assessment-­‐stretch   Re-­‐assess:  arm  length  and  overhead  [Group  1  then  2]    Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 22. Goal:  Target  ?ssues  within  the  posterior   aspects  of  the  shoulder  joint.     Check  for  anterior  posterior  joint  glide   and  restric?ons.   Client  posi?on:  Client  lying  supine  on  the   table   Trainer/coach:     •  Grasp  client  arm  on  the  lower  arms   bones  to  trac?on  their  arm  upward,   keeping  the  clients  elbow  straight.  Hands   are  placed  on  each  side  of  their  wrist   above  the  joint.   •  Trac?on  of  the  shoulder  up  at  90°   flexion.   •  Stand  very  close  to  client  and  lean   slightly  over  them  to  have  the  best   leverage.   •  Check  for  posterior  joint  glide  and   restric?ons  by  gently  liding  the  arm   upward.   Trac?on:  Shoulder  up  at  90°  flexion.   Shoulder  joint  trac3on   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 23. ROM-­‐with  client  lying  on  side     •  Hook  your  Trac?on  arm  at  90  deg  abduc?on   •       Trac?on  up  to  ceiling   Lateral  Line  –  upper  body  (part  1  of  2)   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 24. Stretch  movement  1   •  On  exhale,  trac?on  out    down  to  floor   •      Lid  their  arm  up  and  over  a  stretch  wave   •      Increase  overhead  abduc?on   •      Squat  down  for  be]er  leverage     PNF  -­‐  cue  is  have  them  pull  their  scapula  down   to  their  same  hip  as  they  roll  their  body  back   down  to  the  table;  Repeat  PNF  2  or  more  ?mes     Stretch  movement  2   •  Maintain  stretch  posi?on  in  #1    have   client  gently  rotate  torso  toward/away  from   floor/table.  No  PNF.       Lateral  Line  –  upper  body  (part  2  of  2)   Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 25. References   •  Frederick,  A.,  Frederick,  C.  2014.  Fascial  Stretch  Therapy.   Handspring:  Edinburgh.   •  Schleip,  R.,  et  al.  2012.  Fascia:  The  human  tensional   network.  Elsevier:  London.   •  Frederick,  A.,  Frederick,  C.  2006.  Stretch  to  Win.  Human   Kine?cs:  Champaign.     •  Alter,  M.A.  2004.  The  Science  of  Flexibility.  Human   Kine?cs:  Champaign.   •  www.fasciaresearchsociety.org     •  www.fasciacongress.org     Copyright  (c)  2014  Stretch  to  Win,  LLC  
  • 26. Thank  you!   www.StretchToWin.com   Copyright  (c)  2014  Stretch  to  Win,  LLC